Active NPI
Kevin Fredrick Baker Jr.
- Pharmacist
- Belfast, ME
National Provider Identifier
1407296452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR12912
- Practice address
- 268 Main St
Belfast, ME 04915-6572 - Phone
- (207) 338-6844
- NPI assigned
- Jul 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR12912 | ME | Primary |
Addresses
Primary practice location
268 Main St
Belfast, ME 04915-6572
Mailing address
54 Larkin St Apt 2
Bangor, ME 04401-6214
Phone (207) 227-9620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR12912 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Belfast, ME
- NPI 1235444241
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372896000000",
"number": "1407296452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 LARKIN ST APT 2",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016214",
"telephone_number": "207-227-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MAIN ST",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156572",
"telephone_number": "207-338-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KEVIN",
"middle_name": "FREDRICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-04",
"last_updated": "2013-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR12912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.